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The association between psychosocial factors and mental health symptoms in cervical spine pain with or without radiculopathy on health outcomes : a systematic review
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Mansfield, Michael, Thacker, Mick, Taylor, Joseph L., Bannister, Kirstie, Spahr, Nicholas, Jong, Stephanie T. and Smith, Toby O. (2023) The association between psychosocial factors and mental health symptoms in cervical spine pain with or without radiculopathy on health outcomes : a systematic review. BMC Musculoskeletal Disorders, 24 . 235. doi:10.1186/s12891-023-06343-8 ISSN 1471-2474.
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Official URL: https://doi.org/10.1186/s12891-023-06343-8
Abstract
Background
Neck pain, with or without radiculopathy, can have significant negative effects on physical and mental wellbeing. Mental health symptoms are known to worsen prognosis across a range of musculoskeletal conditions. Understanding the association between mental health symptoms and health outcomes in this population has not been established. Our aim was to systematically review the association between psychosocial factors and/or mental health symptoms on health outcomes in adults with neck pain, with or without radiculopathy.
Methods
A systematic review of published and unpublished literature databases was completed. Studies reporting mental health symptoms and health outcomes in adults with neck pain with or without radiculopathy were included. Due to significant clinical heterogeneity, a narrative synthesis was completed. Each outcome was assessed using GRADE.
Results
Twenty-three studies were included (N = 21,968 participants). Sixteen studies assessed neck pain only (N = 17,604 participants); seven studies assessed neck pain with radiculopathy (N = 4,364 participants). Depressive symptoms were associated with poorer health outcomes in people with neck pain and neck pain with radiculopathy. These findings were from seven low-quality studies, and an additional six studies reported no association. Low-quality evidence reported that distress and anxiety symptoms were associated with poorer health outcomes in people with neck pain and radiculopathy and very low-quality evidence showed this in people with neck pain only. Stress and higher job strain were negatively associated with poorer health outcomes measured by the presence of pain in two studies of very low quality.
Conclusions
Across a small number of highly heterogenous, low quality studies mental health symptoms are negatively associated with health outcomes in people with neck pain with radiculopathy and neck pain without radiculopathy. Clinicians should continue to utilise robust clinical reasoning when assessing the complex factors impacting a person’s presentation with neck pain with or without radiculopathy.
PROSPERO registration number
CRD42020169497.
Item Type: | Journal Article | ||||||
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Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RC Internal medicine |
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Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
Library of Congress Subject Headings (LCSH): | Cervical vertebrae -- Diseases, Cervical vertebrae -- Diseases -- Psychological aspects, Neck pain, Neck pain -- Psychological aspects, Mental health, Quality of life -- Health aspects | ||||||
Journal or Publication Title: | BMC Musculoskeletal Disorders | ||||||
Publisher: | Biomed central | ||||||
ISSN: | 1471-2474 | ||||||
Official Date: | 28 March 2023 | ||||||
Dates: |
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Volume: | 24 | ||||||
Number of Pages: | 13 | ||||||
Article Number: | 235 | ||||||
DOI: | 10.1186/s12891-023-06343-8 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Open Access (Creative Commons) | ||||||
Date of first compliant deposit: | 24 March 2023 | ||||||
Date of first compliant Open Access: | 28 March 2023 | ||||||
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